Individual provider · NPI-1

Bogonko Achenchi

Family Medicine · Dover, DE

NPI number1437817624
StatusActive
Last updated in NPPESNov 28, 2023

Details

NPI
1437817624
Entity type
Individual (NPI-1)
Name
Bogonko Achenchi
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 4, 2021
Certification date
Nov 28, 2023
Last updated
Nov 28, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineLG-0011734DEYes
363LF0000X Nurse Practitioner, FamilyLG-0011734DE

Practice location

11 Fox Hall
Dover, DE 19904-2620

Phone 302-359-8795

Mailing address

11 Fox Hall
Dover, DE 19904-2620

Phone 302-359-8795

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